Manage patient account receivables as a specialist at Community of Hope. Collaborating on billing tasks and ensuring timely claims processing.
Responsibilities
Follow up on outstanding claims in a timely manner according to the assigned inventory and follow-up guidelines
Complete denials and appeals within set guidelines
Identify Insurance refunds and submits to Manager for review and approval
Work claims to ensure billing is completed within 5 days of the claim date
Correct errors to ensure claims are going out clean
Submit claims daily to ensure timely filing
Review and work status under Eligibility issues, pending, errors, insurance accepted/rejected, coding issues
Expedite claim adjudication by resolving issues in ERA Denied, Rejections
Research errors and make necessary edits to claims
Contact patients and insurance companies as needed for resolution
Requirements
High School diploma required
Healthcare experience with Medicare and DC Medicaid is strongly required/preferred
Minimum 2 years required and 4+ preferred experience in physician, dental and behavioral health business office environment, specifically in collection and billing
Maintains confidentiality in all matters that include Patient Health Information and employee data
Team player, highly organized and able to meet strict timely deadlines
Ability to prioritize and simultaneously manage all daily tasks
Ability to work in a fast-paced environment
Superior knowledge of computers including MS Office, Practice Management Systems (eClinicalWorks) payer’s website navigation and contract management
Able to perform basic and mathematical calculations, works credits on accounts and able to reconcile data
Benefits
8-hour workdays with paid lunch
3 weeks vacation (additional week after two years)
2 weeks sick leave
11.5 paid holidays
one personal floating holiday annually
Annual performance-based raises, up to 5% of your annual pay
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